Browse exam questions.
Share of each category in the latest available session.
The presence of multiple adenomatous polyps on endoscopic examination of the digestive tract and co-existing soft tissue fibromas on the arms and the shanks give rise to a suspicion of
Carcinoembryonic antigen level assessment is of most value in:
A 40-year-old man with type 1 diabetes comes to the office because of more frequent incidents of hypoglycaemia. He decreased the dose of insulin. What might be the cause of hypoglycaemia in this patient?
A 30-year-old male complains of colic pain in the left lumbar region with macroscopic hematuria, chills and fever 40 Celsius. Indicate the most probable diagnosis:
A female patient was diagnosed with a lack of ovulation, acne and hirsutism. Those symptoms may suggest polycystic ovary syndrome. However, a presence of striae, a buffalo hump and arterial hypertension may suggest the diagnosis of Cushing’s syndrome. Which of the following should be performed in order to differentiate those disorders?
Which of the following situations occurring during pregnancy requires a quick termination of the pregnancy?
Which of the following should you suspect in a female patient complaining of cyclic regular hypogastric pain occurring for a longer time and rectal bleeding that accompanies menstruation?
Which of the following primarily affects the incidence of postoperative complications after surgical treatment of a peptic ulcer?
A patient with decompensated diabetes mellitus and severe ketoacidosis complains of abdominal pain, nausea and vomiting. There are no obvious signs of peritonitis on physical examination. The first-line approach in this patient is:
Indicate tests that should be ordered before the abdominal puncture in a patient with hepatic cirrhosis:
Neuroborreliosis can manifest itself as:
1. lymphocytic meningitis,
2. encephalitis,
3. spinal cord inflammation;
4. cranial nerve palsy,
5. chronic encephalopathy,
6. impaired concentration;
7. increased nerve excitability
The correct answer is:
The doctor stating death is obliged to immediately notify the police or the prosecutor if:
1) they are unable to determine the cause of death;
2) the deceased does not have a next of kin within the meaning of Article 3 of the Act on
Patients’ Rights and the Ombudsman for Patients' Rights;
3) they have a justified suspicion that a crime was the cause of death;
4) they have a justified suspicion that suicide was the cause of death;
5) they are unable to establish the identity of the deceased;
The correct answer is:
Medical Rescue Team with the doctor was called to a 32-year-old man who was under the influence of designer drugs. These drugs caused the patient to react aggressively. What are the conditions under which it is possible to apply direct coercion in this patient?
1) it can be applied only if the doctor diagnoses the patient with mental illness;
2) doctor is allowed to apply it if they obtain consent from a medical specialist in psychiatry appointed by the province governor;
3) patient’s behavior poses a threat to his life or health;
4) it is only possible to hold the patient down and to immobilize him. However, the doctor is not allowed to force the patient to take medication;
5) before applying direct coercion the doctor should warn the patient.
The correct answer is:
The risk factors of nosocomial infections include:
The foramen ovale is located:
The sudden onset of a disease in a child with a high fever, headaches, vomiting, rash on the skin, and “raspberry tongue” is the clinical description of:
Which of the following is not typical of cervical cancer?
In which of the following patients is an increased risk of perioperative complications observed?
1) obese;
2) below 30 years of age;
3) with coronary artery disease;
4) with diabetes mellitus;
5) classified to ASA PS category I according to the American Society of Anesthesiologists.
The correct answer is:
Which of the following are not classified as internal abdominal hernias:
A 30-year-old woman, weighing 60 kg, was referred to the ER with III degree burnings of the left upper extremity, left lower extremity and of the groin. What volume of fluids should be administered within 24 hours?
Which of the following accesses to the digestive tract can be used in nutritional therapy?
Contraindications to laparoscopic surgery include:
1) surgery in anamnesis;
2) peptic ulcer of the stomach rupture;
3) cardio-respiratory failure;
4) surgery because of cancer disease;
5) clotting disorders;
6) lack of patient’s consent to this surgery.
The correct answer is:
Indicate the true statement concerning Charcot’s triad:
The most common cause of non-complicated cystitis is the bacteria:
The differential diagnostics of a sudden and strong epigastric pain, accompanied by sweating, occurring for the first time in lifetime in a 50-year-old tobacco smoker should include:
1) myocardial infarction;
2) ulcer perforation;
3) biliary colic;
4) incarcerated inguinal hernia
5) bleeding in the digestive tract.
The correct answer is:
A contract of employment in the hospital has been offered to a doctor. The employment is based on the co-called equivalent work time. This means that:
1) standard daily working time can be increased up to 12 hours;
2) standard daily working time can be increased up to 18 hours;
3) standard weekly working time is increased to 48 hours;
4) basically the time calculation period is shortened to 1 month;
5) basically the time calculation period is prolonged to 6 months.
The correct answer is:
Social pension is due to a person of age who suffered damage to health in the periods specified in the Act on social pension and who holds a ruling on:
Indicate true statements concerning urinary tract infections in children:
1) Gram negative bacteria are the most common etiological factor;
2) clinical signs in neonates are not specific;
3) primary diagnostic procedure is voiding cystourethrography;
4) voiding disturbances are predisposing factors;
5) the duration of treatment depends on the severity of child condition.
The correct answer is:
The normal age of menarche in Poland is defined as:
Which of the following concerning pancreatic cancer is false?
Fibromyalgia - a condition characterized by widespread pain in muscles and tendons- most frequently affects:
Which of the following should be given to a patient with hyperkalemia at the level of 7 mmol/l, if the ECG shows toxic influence of potassium on the heart muscle?
Indicate the most characteristic set of symptoms of meningitis:
A 52-year-old obese woman went to see a gynecologist because of periodic bleeding from the reproductive tract. The abdominal ultrasound exam revealed incidentally a stone in the gallbladder of 2.5 cm in diameter. The patient was not aware of the cholelithiasis and she denies having any symptoms suggesting the disease. Which of the following is the optimal management?
Which of the following drugs is preferred to start the treatment of asymptomatic type 2 diabetes, when all of its potential contraindications have been excluded?
Chronic obstructive pulmonary disease can be diagnosed based on the symptoms and spirometry results. Which component of spirometry is used to diagnose chronic obstructive pulmonary disease?
Productive cough is typical of the following diseases, except from:
Urinary system infection in children is not testified by:
A patient with measles is contagious for:
“This tumor can develop before puberty but the peak incidence is observed in women of reproductive age. It easily ruptures which may lead to peritoneal signs and symptoms demanding urgent surgery. In postmenopausal women it may cause abnormal bleeding from the reproductive tract. Surgical excision does not guarantee full recovery as this tumor recurrence may be observed as many as 30 years after the initial diagnosis”. The above is a characteristic of:
Instability found on the examination of the pelvis is the indication for:
Which of the following fractures are not characteristic of battered child syndrome?
According to the Act on the profession of the doctor and dentist, medical secrecy after the patient’s death:
The doctor while giving medical services to his patient finds out that they suffer from infectious, sexually transmitted disease. What should he do?
1) he should immediately pass on the information to the appropriate voivode, who can take a decision to isolate the patient;
2) he should force the patient to stay in place and immediately call the sanitary services;
3) he should inform the patient about the means that prevent the disease from spreading;
4) he has the duty to inform the patient of the necessity that their sexual partner consult a doctor;
5) he must immediately let all the people closely associated with the patient know and warn them about the threat.
The correct answer is:
A patient presenting symptoms of acute heart failure class II according to Forrester hemodynamic classification was referred to the cardiac intensive care unit. What kind of treatment will be the most appropriate?
The main features of WAGR syndrome are:
Which of the following hormones are released from the posterior lobe of the pituitary gland?
Which of the following operations can be performed in the case of adenocarcinoma
localized in the sigmoid colon?
Which of the following medications is the safest in pregnant women?
The total dose of N-acetylcysteine used intravenously in paracetamol intoxication amounts to:
Which of the following test should be performed in order to qualify the patient to the nephrectomy due to hydronephrosis without recurrent infections but accompanied by treatment-resistant hypertension?
Which of the following is necessary in uncomplicated diverticulosis?
The high risk factors of gestational diabetes include:
1) obesity of the pregnant woman (BMI > 30);
2) diabetes in the first-degree relatives;
3) birth weight of neonates of previous pregnancies > 4000 g;
4) age of the pregnant woman < 25 years;
5) no significant obstetric history.
The correct answer is:
Which of the following are regarded as risk factors for a transverse lie?
1) oligohydramnios;
2) polyhydramnios;
3) placenta praevia;
4) multiple pregnancy;
5) single pregnancy.
The correct answer is:
A 13-year-old girl reports to the doctor office with her grandmother. During the examination the doctor starts to suspect that the girl has been sexually abused by her stepfather. The girl confirms this suspicion but asks the doctor to keep it secret. In that situation the doctor:
What kind of study is a cohort study?
The Health Beliefs Model explains:
In cost benefit analysis (comparison of two interventions that have different health effects) the most commonly used measure to compare the health effects is:
The depressive episode in the course of the bipolar disorder is characterized, more frequently than the one in the course of recurrent depressive disorder, by:
The most common cause of septic shock in Poland are:
During the initial segregation of mass accident victims, using START protocol, a victim non-responding to any stimuli, not breathing spontaneously even after airway management should be:
Which of the following is classified as a disease-modifying antirheumatic drug?
A 78-year-old patient was transported to the Emergency Department because of general fatigue, peripheral pitting edema of lower limbs and dyspnea increasing for the last month. The patient has a several year history of well-controlled arterial hypertension and rheumatoid arthritis with a sustained moderate disease activity despite the use of non-steroidal anti-inflammatory drugs. Because of the increasing edemas his family doctor gave him furosemide, twice daily, 10 days earlier. The treatment did not alleviate edemas. Which of the following should be first ordered to find the cause of increasing fluid retention?
A 4-month-old infant was admitted to the hospital and diagnosed with bronchiolitis. Prior to the infection the child was healthy. In the rapid test of the smear from the nasopharynx RSV (respiratory syncytial virus) antigens were detected. Indicate the proper treatment in this case:
A 35-year-old patient came to the ED complaining of a sever epigastric pain. The symptoms have lasted for over a dozen hours. Laboratory tests showed increased WBC, CRP and bilirubin concentration, decreased calcium ion concentration, increased activity of aminotransferases, amylase, lipase, LDH, GGTP and basic phosphatase. Abdominal ultrasound imaging showed a distension of intrahepatic bile ducts and blurred pancreatic outline. Indicate the correct management of this patient:
Colorectal cancer is most commonly located in:
Which of the following cannot be a consequence of intrauterine infection?
"Illness is the most common in the autumn and winter, in children aged 1-3 years. It is caused by viruses, the characteristic symptom is "barking" cough and stridor, the symptoms may be recurrent." This is a description of:
Which of the following should primarily be checked if there are no normal movements of the chest during the ventilation performed with the use of a bag valve mask?
Which of the following scales refers to the possibility to visualize particular structures (including the glottis) in direct laryngoscopy?
A 40-year-old male patient has been admitted to the ER department because of severe pain located in the right hypochondrium, accompanied by high fever, chills, and jaundice. The CRP is elevated. The ultrasound imaging shows dilated extrahepatic bile ducts. The primary diagnosis should be:
Providing patients with information about their health conditions:
Factors which influence health according to Lalonde’s concept do not include:
Which of the following is not included in diagnostic criteria for adult-onset Still’s disease?
In children fever and small itchy blisters that form crusts within 7 days are the symptoms of:
Skin lesions that occur in children, especially those in immunosuppression, in a form of small dome-shaped and pearly papules with a dimpled center are related to:
A female patient was urgently operated due hemorrhage of parenchymal disruption in the liver and the Pringle maneuver was performed during this procedure. It involves compressing:
1) splenic artery
2) proper hepatic artery
3) right gastric artery
4) splenic vein
5) proper hepatic vein
6) portal vein
7)common bile duct
The correct answer is:
The absolute indications for the surgical treatment of acute pancreatitis do not include:
The antithrombotic prophylaxis does not involve:
Choriocarcinoma is one of the rarest but most aggressive malignant tumors in women. Its diagnosis is based on:
A 35-year-old patient came to the gynecological outpatient clinic because of vaginal bleeding occurring between periods for about a year. The bleeding with dark brown blood occurs on 11 -12 day of the cycle and lasts 2-3 days. The periods occur every 30 days. The patient underwent a caesarian section two years earlier. Which of the following is the most probable cause of the bleedings?
Which of the following is not a proven risk factors for cervical cancer?
The signs and symptoms of Conn's syndrome (primary hyperaldosteronism) do not include:
A patient on constant acenocoumarol therapy came to the family doctor with the result of INR = 5.8 without any sign of bleeding. Which of the following should be recommended?
The sickness benefit due to tuberculosis is paid throughout the period of temporary incapacity to work but not longer than:
The most common cause of signs and symptoms of Cushing’s syndrome is:
A 28-year-old man comes to the doctor complaining of an epigastric pain that radiates to his back. Serum amylase concentration is 10-fold higher than the normal limit. What is the most probable diagnosis?
Indicate the true statement concerning newly diagnosed immune thrombocytopenia:
Cafe-au-lait spots are typical of:
A patient complains of a dull, disturbing, diffuse, deep abdominal pain, which precise location he is unable to determine, but the pain is the strongest at the midline. The patient reports the pain resembles a pain that was accompanying the first symptoms of acute appendicitis 20 years ago. Such a pain is called:
The Glasgow-Blatchford scale refers to patients with:
The alarming signs and symptoms in the course of gastroesophageal reflux disease, which are an indication for prompt endoscopic diagnostics, include:
1. weight loss
2. swallowing disturbances;
3. cough
4. upper gastrointestinal bleeding
5. hoarseness, aphonia
6. chest pain with non-cardiac etiology
The correct answer is:
An ambulance team was called for an unconscious man found in the city park on a December morning. The paramedics should check for signs of life in this patient not longer than:
The term ”death triad” denotes:
The circumstances qualifying the insured for receiving a rehabilitation allowance (unfitness for work after exhaustion of sickness benefit, with the prognosis that the further treatment or physiotherapy will restore the ability to work) are defined by:
The monoclonal protein (M protein) in multiple myeloma is usually an immunoglobulin of the class:
The Doloplus-2 scale is a method of measuring pain:
Which of the following are recommended as the first-line treatment for maintenance therapy after achieving remission in mesangial proliferative lupus nephritis?
1) mycophenolate mofetil + prednisone;
2) cyclosporine + prednisone;
3) oral cyclophosphamide + prednisone;
4) azathioprine + prednisone;
5) methotrexate + prednisone.
The correct answer is:
Subclinical hypothyroidism is characterized by:
Work accident insurance is obligatory for:
A 64-year-old obese female reports postmenopausal vaginal bleeding. A cytological smear was obtained and in a transvaginal ultrasound endometrial hyperplasia was found. The mucosa biopsy was performed and the histopathological diagnosis of adenocarcinoma was obtained. Pap smear was normal. The uterus with appendages was completely resected and the lymph nodes were sampled. In postoperative examination adenocarcinoma cells were found in the uterus region (no evidence of serous membrane infiltration) and in the cervical canal near the internal orifice. No evidence of adnexal infiltration or metastases to the lymph nodes was found. Indicate tumor advancement according to FIGO classification:
According to the principles of medical ethics, in the case of diagnostic and therapeutic doubts, the doctor should:
According to the principles of medical ethics, while performing medical activities, the doctor:
Quicktrach is used for:
The most common cause of acute liver injury is:
Skin infection with rapidly spreading connective tissue infection, purulent discharge from the wound, general symptoms and the formation of distant abscesses, caused by Pasteurella multocida is characteristic of wounds caused by:
To carry out a medical experiment, the following conditions have to be fulfilled:
1) a written consent of an examined person who is to participate in the experiment has to be obtained;
2) a consent of the director of a regional branch of the National Health Fund (NFZ) has to be obtained;
3) prior notice has to be given to an examined person about the purposes, methods and conditions of conducting the experiment, expected therapeutic and cognitive benefits, risk and a possibility of withdrawing from the experiment at any of its stages;
4) project should be approved by an independent bioethical committee;
5) project should be verified by the Regional Medical Chamber.
The correct answer is:
The chief executive of a hospital decided to conduct a study on the experiences of patients, i.e. the feelings of patients and their families or caregivers that arise from the medical care at the hospital. Quantitative studies suitable for measuring patient experiences are:
An accident resulting in a severe damage to an employee’s body, such as loss of reproductive capacity or mental illness is:
Indicate the result of an arterial blood gas test which shows decompensated respiratory acidosis:
All patients with coronary artery disease (in absence of contraindications) should be chronically treated with:
The possible causes of cervical incompetence include:
1) inherited disorders;
2) traumas of the cervix;
3) state after the cervical conization;
4) multiple pregnancy.
The correct answer is:
Indicate the true statement concerning the risk factors for ovarian cancer:
If a person is under 20 and applies for the disability pension resulting from incapacity for work, then the condition of having the required contributory and non-contributory period of insurance is considered fulfilled provided that this period is at least:
The decision stating an occupational disease after carrying out explanatory proceedings is issued by:
The initiation of treatment to manage arterial hypertension with a single hypotensive agent (monotherapy) is justified in the case of:
The diagnostic criteria of chronic kidney disease (CKD) include:
1) GFR ≥90 ml/min/1.73 m2 in two measurements at a minimum of 2 months’ interval;
2) GFR <60 ml/min/1.73m2 in two measurements at a minimum of 2 months’ interval;
3) GFR ≥90 ml/min/1.73m2 in two measurements at a minimum of 3 months’ interval;
4) GFR <60 ml/min/1.73m2 in two measurements at a minimum of 3 months’ interval;
5) albuminuria ≥30 mg/d in two measurements at a minimum of 3 months’ interval;
6) albuminuria <30 mg/g in two measurements at a minimum of 3 months’ interval.
The correct answer is:
The first-line treatment of hypertension in pregnant women is:
A 19-year-old male presents to a psychiatrist with ‘learning difficulties’ after he has failed his school-leaving exams again. For 2 years he has been making different types of lists of unimportant things. He feels a constant compulsion to check if he has written everything down in the correct order. He counts the number of words he has written down. He repeatedly reads them out in a particular order. Also, he segregates and reorders the sheets with his notes many times a day. The above activities take up as many as 10 hours a day. As he does not have much time left, he has cut down on socialising, has been neglecting learning and spending most of his time in his bedroom. Which drug should be administered to this patient?
Which of the following are the features of a high-functioning alcoholic?
When is the risk of suicide the highest after treatment with anti-depressants has been started?
A person who hardly ever gets involved in pleasurable activities or does not get involved in them at all, is emotionally cold and superficial, has a limited ability to express emotions towards others, is not much interested in sexual relationships with other people, has no close friends, is strongly engaged in fantasizing and introspection and is insensitive to the accepted norms and social conventions displays the characteristics of:
A 55-year-old female patient diagnosed with schizophrenia has been taking haloperidol for 25 years. The patient complains of constant symptoms of chewing, facial grimacing and lip-smacking. The symptoms persist although the dose of haloperidol has been reduced. Discontinuation of the neuroleptic results in persecutory delusions and imperative auditory hallucinations that command her to kill the members of her family. Which of the following antipsychotic drugs should haloperidol be substituted with in this patient?
Which of the following sets of hormone levels might indicate primary hypothyroidism?
The dietary factors that increase the risk of colorectal cancer include:
Which of the following statements is true about neuroblastoma?
1) it is most commonly located in the kidneys;
2) tumour cells display an increased uptake of MIBG in scintigraphy;
3) it is the most common in schoolchildren;
4) it is the most common in infants and small children;
5) it may infiltrate the bone marrow.
The correct answer is:
Select the correct diagnosis in a patient with massive swelling of the lower limbs and groin, daily proteinuria of 8 g/24 h, hypoalbuminemia, dyslipidaemia and negative anti-PLA2R antibody:
In a 56-year-old patient with heart failure, left ventricular ejection fraction (LVEF) of 55%, diabetes mellitus type 2 treated with metformin and proteinuria of 0.9 g/L detected on urinalysis it is recommended to add:
Select the correct statements about Sjögren syndrome:
1) Homans test result of 7 mm favours the diagnosis;
2) it is recommended to monitor the patient for the development of lymphoma;
3) approximately 80% of patients develop hypergammaglobulinaemia;
4) Congo red is used for the corneal evaluation.
The correct answer is:
Select the suspected diagnosis in a 34-year-old female patient with human immunodeficiency virus infection detected in 2012 who for the past 3-4 weeks has had a dry cough, frequent sensation of cold and chills:
Select the suspected diagnosis in a 65-year-old male patient with a history of severe right-sided chest pain, chronic dry cough, progressive fatigue and clinical evaluation findings of dull percussion with asymmetric chest expansion:
Select the correct statements about treatment of oesophageal achalasia:
1) pharmacotherapy is the first-line treatment in young patients;
2) treatment involves the use of prokinetic agents;
3) endoscopic management is used, such as mechanical oesophageal dilation and myotomy;
4) botulin toxin injections into the muscles is the first-line treatment;
5) surgical management additionally involves fundoplication.
The correct answer is:
A 23-year-old female patient with a history of ulcerative colitis for the past few months has had pruritus and sporadic right-sided subcostal pain. In the previous month she had an episode of jaundice with a fever up to 38°C. Ultrasound examination performed at that time did not show cholecystitis and the patient was disqualified from surgery. Considering the patient’s history, the suspected diagnosis is:
Monitoring of persistent thyroid cancer involves measurements of the titres/levels of:
In a female patient with massive gross haematuria, recurrent episodes of acute kidney injury and stage 3 bladder cancer diagnosed first time, the gold standard for treatment is:
Select the correct statement about carcinoma of the renal pelvis and ureter:
Select the most likely suspected diagnosis in a 72-year-old male patient with fatigue, weight loss, severe bone pain and proteinuria with hypercalcaemia detected on laboratory tests:
Select the first-line treatment in a patient with gastric adenocarcinoma without submucosal infiltration and at minimal risk for metastases:
Upon detecting on ultrasound a small lesion in the pancreas the recommended diagnostic method to evaluate the infiltration of adjacent vessels is:
Colonoscopy findings that require observation and follow-up include:
1) adenomas with high-grade dysplasia;
2) serrated polyps >5 mm;
3) solitary inflammatory polyps;
4) adenomas ≥10 mm.
The correct answer is:
A 38-year-old male patient with pituitary adenoma undergoing bromocriptine treatment presents to the internal medicine ward to investigate hypercalcaemia. Abdominal ultrasonography revealed multiple stones up to 5 mm in the area of the renal pelvis in both kidneys and a focal lesion in the left adrenal gland area with a dimension of 10 mm. Select the suspected diagnosis:
Select the correct statements about hepatocellular carcinoma:
1) liver biopsy is the gold diagnostic standard;
2) imaging studies are sufficient to make a diagnosis only in patients with a cirrhotic liver;
3) liver transplantation is reserved for patients with a solitary focal lesion in the liver;
4) hemochromatosis predisposes to the development of hepatocellular carcinoma.
The correct answer is:
Symptoms of laryngeal cancer include:
1) pain on swallowing referred to the ear;
2) hoarseness;
3) productive cough;
4) tumour in the nasopharynx.
The correct answer is:
Select the correct statements about recurrent cystitis in women:
1) it is diagnosed if the patient has at least 4 cystitis episodes in the course of a year;
2) it is always necessary to perform imaging studies of the urinary tract;
3) treatment duration should not exceed 7 days;
4) prophylaxis includes a lyophilised Escherichia coli extract.
The correct answer is:
Secondary arterial hypertension is suspected in the following situations:
1) sudden-onset hypertension in an individual <40 years of age;
2) coexisting hyperlipidaemia;
3) vascular murmur heard on abdominal examination;
4) family history of arterial hypertension.
The correct answer is:
Select the correct statement about dabigatran:
In a 75-year-old woman in a check-up a serum sodium of 132 mmol/l has been found. The woman does not complain about any symptoms and does not take any drugs. Indicate the proper way of treatment:
Calculate the basic daily fluid requirements for a 27-kg healthy child using the Holliday-Segar formula:
Features characteristic of complex febrile seizures are:
1) focal onset;
2) seizure lasting <15 minutes;
3) postictal paresis;
4) >1 seizure/24 hours;
5) most frequent in children aged 6 months to 9 years;
6) history of prior brain injury.
The correct answer is:
Differential diagnosis of Epstein-Barr virus (EBV) infection relies on specific antibodies. Select the correct antibody test result in a patient with past infection (the patient had the infection previously):
1) anti-VCA IgM - positive result;
2) anti-VCA IgM - negative result;
3) anti-VCA IgG - positive result;
4) anti-VCA IgG - negative result;
5) anti-EA IgG - positive result;
6) anti-EA IgG - negative result;
7) anti-EBNA - positive result;
8) anti-EBNA - negative result.
The correct answer is:
Select the false statement about nephroblastoma:
Select the correct statement(s) about spinal muscular atrophy (SMA):
The current 2025 immunization schedule includes both mandatory and recommended vaccinations. Which of the following are recommended vaccinations?
1) BCG - vaccination against tuberculosis;
2) TBE - vaccination against tick-borne encephalitis;
3) COVID-19 - vaccination against COVID-19;
4) MenB - vaccination against meningococcal serogroup B;
5) MenACWY - vaccination against meningococcal serogroups A, C, W, Y;
6) IIV - inactivated influenza vaccination;
7) LAIV - live influenza vaccination in a nasal spray;
8) MMR - vaccination against measles, mumps and rubella.
The correct answer is:
Indicate the false statement about subglottic laryngitis:
Select the correct recommendations for the management of community-acquired pneumonia in children:
1) it is not recommended to routinely perform blood cultures in children with community-acquired pneumonia treated on an outpatient basis;
2) blood cultures can be helpful in children with community-acquired pneumonia in severe condition;
3) it is recommended to routinely perform sputum culture and a nasopharyngeal swab in children with community-acquired pneumonia;
4) sputum culture should be performed also in children in good general condition;
5) before ordering cultures, it is recommended to perform a cytologic evaluation of the quality of the samples;
6) if pleural effusion is detected in a child with community-acquired pneumonia and the amount of pleural fluid is sufficient for thoracentesis, it is not necessary to perform fluid collection for microbiologic examination;
7) it is not recommended to routinely perform serologic studies to identify the aetiology of community-acquired pneumonia in children;
8) it is recommended to test nasopharyngeal lavage samples for viral antigens, and in particular for respiratory syncytial (RS) virus, in all children regardless of age who are admitted to hospital due to community-acquired pneumonia.
The correct answer is:
Thrombophilia does not include:
The first-line treatment in a 16-year-old child >40 kg with a diagnosed stage 1 essential hypertension includes all of the listed agents except for:
Which of the following genetic disorders is not related to the increased risk of malignancy in children?
Which from the drugs listed below is used in the treatment of pertussis?
1) trimethoprim-sulfamethoxazole;
2) azithromycin;
3) amoxicillin;
4) clarithromycin;
5) penicillin V (phenoxymethylpenicillin).
The correct answer is:
In a 4-year-old child with recurrent respiratory tract infections, hearing impairment and snoring the physical examination showed high-arched palate, distoclusion, mouth breathing and the presence of exudation in the nasal ducts.
The most probable cause of the abnormalities is:
Endoscopic papillotomy (sphincterotomy) allows for accessing the bile ducts and subsequent stone removal. Which of the following is a contraindication to this procedure?
A 56-year-old male patient presents to the emergency department with a severe abdominal pain and jaundiced skin. What should be performed first?
A 27-year-old male patient treated for alcohol dependence develops symptoms of portal hypertension. On physical examination an enlarged spleen (splenomegaly) is detected. Which of the following would be indicative of hypersplenism?
1) hyperuricemia;
2) leukopenia;
3) thrombocytopenia;
4) hyperaldosteronism;
5) anaemia;
6) hypokalaemia;
7) hypercalcaemia;
8) hyponatremia.
The correct answer is:
Trauma can result in intraperitoneal haemorrhage. Which of the following is the most frequent cause of intraperitoneal haemorrhage?
A 66-year-old male patient underwent splenectomy following trauma. Upon discharge, he should receive a recommendation for prophylactic vaccination. The patient should be vaccinated against which of the following bacteria?
Select the most frequent late complication of oesophageal burn:
A mother presents to the emergency department with a 6-year-old son who swallowed a 2 PLN coin (21.5 mm in diameter). The child has difficulty swallowing. Select the preferred therapeutic approach:
Deep transverse arrest occurs when:
External cephalic version is contraindicated in the following situations:
The third Leopold’s manoeuvre is used to assess:
Class II obesity (clinical obesity) is defined as a BMI of:
The onset of labour is defined as:
The greatest circumference of the foetal head is measured in:
Select the false statement about thyroid cancer in pregnant women:
The frequent complications of labour induction include:
1) uterine hyperstimulation.
2) uterine rupture.
3) abnormal cardiotocography (CTG).
4) postpartum haemorrhage.
5) umbilical cord prolapse.
The correct answer is:
Which of the following is not a contraindication to subarachnoid analgesia?
Premature ovarian insufficiency is defined as a loss of ovarian function before:
Asymptomatic urine system infection needs treatment only in specific clinical situations. Indicate those situations:
1) pregnancy;
2) kidney transplant recipients within the first 6-12 months after the transplantation;
3) patients with diabetes mellitus;
4) before planned transurethral prostate gland resection or other urologic procedures on the urinary tract;
5) patients with long-lasting presence of a urinary catheter.
The correct answer is:
Which of the following is not among the abnormalities of the head position during labour?
Which of the following is characteristic of borderline ovarian tumors?
The most frequently occurring malignant tumor in Polish women is:
At the well-child visit (check-up) for a 6-year-old, particular attention should be paid to:
Which of the following statements are true for immunization in children with impaired immunity?
1) live vaccines, such as MMR, are contraindicated in children with severe immunodeficiency;
2) children with HIV should avoid all live vaccines regardless of their immunosuppression level;
3) influenza vaccine (inactivated) is indicated in children with immunodeficiency also during immunosuppression;
4) prematurely born children should receive pneumococcal vaccination using a 3-dose primary vaccination schedule followed by 1 booster dose;
5) varicella vaccination can be safely administered in children using oral prednisone 25 mg/day.
The correct answer is:
Which of the following tests is most useful for identifying early kidney damage in a patient with essential hypertension?
Mutation in which of the following genes is most frequently responsible for the development of hereditary hemochromatosis?
Which of the following most frequently leads to catastrophic antiphospholipid syndrome (APS)?
A 35-year-old patient presents to the family doctor with paroxysmal unilateral headaches lasting 4 to 48 hours. The pain is pulsating, worsened by physical activity and associated with nausea and photophobia. Neurologic examination is unremarkable. What is the most effective treatment that can be used to terminate the attack in this case?
The first-line antibiotic-treatment of uncomplicated otitis media in children is:
Which area of the prefrontal cortex is responsible for the perception of emotions, making meaning of emotions and regulation of emotions?
Amotivational syndrome develops as a result of injury to:
The parahippocampal gyrus in the basal temporal lobe:
Anosodiaphoria refers to:
Which of the agents used for relapse prevention in bipolar affective disorder have solely antimanic effects?
1) valproic acid;
2) lamotrigine;
3) aripiprazole;
4) lithium carbonate;
5) quetiapine.
The correct answer is:
A 35-year-old female patient with bipolar affective disorder. After 6 months of treatment the patient develops hypothyroidism accompanied by hand tremor and dry mouth. The patient is most likely treated with:
A 30-year-old male patient with a first episode of depression. Apart from the core symptoms of depression the patient complains of chronic back pain. The patient is not receiving any other treatment. The first-line agent in this case should be:
Benzodiazepines possess the following actions except for:
You are performing a segregation of patients in the mass event. You use START system. You reach the victim who cannot walk, is breathing (15 breaths per minute), his/her radial artery pulse is palpable, is not responding to commands. You qualify him/her to the group:
Hypothermia is a life-threatening condition defined as:
The main cause of death of the elderly (65+) in Poland is associated with:
In Poland, reports on suspected or diagnosed infectious diseases that are subject to compulsory notification are to be submitted to: